Job Description
Assists Medical Insurance Manager with the administration of student health insurance program. Performs complex claims adjudication to ensure efficient claims operation in accordance with the Third Party Payer and Business Associate agreements between the Student Insurance office and the current underwriter of the student plan. Provides in-person service to students. Dispenses policy information, claims advice, procedural information, and provides guidance in benefit decisions to students, families, medical providers, and other University personnel.
Additional Information
University Benefit Highlights:
- Health, dental, vision, and life insurance
- Retirement and supplemental retirement
- Tuition waiver benefits are available to staff as well as their eligible dependents.
- Paid holiday/administrative closures during Thanksgiving and Winter Breaks
- Paid vacation and sick time
For more University Benefit information: https://hr.illinoisstate.edu/benefits/
Information regarding eligibility for participation in the State Universities Retirement System and the State of Illinois Group Insurance program can be reviewed here https://hr.illinoisstate.edu/benefits/insurance/
Qualifications
Required Qualifications
1. Any one or combination totaling five (5) years (60 months), from the categories below:
A. College coursework in a health-related field, business administration/management, human resource management, or closely related fields, as measured by the following conversion table or its proportional equivalent:
- 30 semester hours equals one (1) year (12 months)
- Associate’s Degree (60 semester hours) equals eighteen months (18 months)
- 90 semester hours equals two (2) years (24 months)
- Bachelor’s Degree (120 semester hours) equals three (3) years (36 months)
B. Progressively more responsible work experience in a healthcare environment working with medical claims, denials, rejections, referrals, and prior authorizations.
Preferred Qualifications
1. Familiarity with policy benefits, exclusions, contract requirements, and with methods for resolving disputes and meeting unique needs of students, parents, hospital and physician representatives and other insurance carries.
2. Must know insurance carrier and office policies for processing claims, enrollment eligibility, insurance and medical terminology, and insurance principles.
3. Excellent communication skills are necessary.
4. Must be able to compose correspondence which explains or responds to complex questions about claims or the Student Insurance program.
5. Must comprehend medical terminology.
6. Must be able to recognize errors of understanding and provide clarification using initiative, tact, and judgment.
7. Ability to work on own initiative in accomplishing assigned task.
Salary
$25.00 - $28.83 per hour
Links
ISU Jobs Website
Contact Information
| University/Agency
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Illinois State University
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| Department/College
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Human Resources
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| Contact
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Breanna Crippen
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| Phone Number
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3094388311
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| Address
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| Comments
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